HomeMy WebLinkAboutR2023-0580 - Permit ApplicationRECENEDBY
COMMUNITY
Print Form City of Newport Beach DEVELOPMENT
COMMUNITY DEVELOPMENT DEPARTMENT JUN 262023
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915 CITY OF
RBR# 9-202-$- 0550 wvvw.newportbeachca.gov 1 (949) 644-3200 NEWPOW BEACH
Application for Report of Residential Building Records
Application Fee: - $202.00 Notice:
(For All Residential Buildings) Applications with insufficient fee payment
Reinspection Fee $134.00 or incomplete will be returned
Please type or print and complete all information
If of Units: Address: 12 COVentry City: Newport Beach State: ICA -Zip: 92660
PropertyOwner:l Dong Wook Kim and Ae Kum Dong
Owner Address: 112 Coventry
State: CA Zip Code: 92660
Zip Code: 92660
City: I NEWPORT BEACH
Home Phone: Please contact an Agent
Joseph Wlaghami @949-813A619
Owner's Authorized Agent: !, Mina Maghami and Joseph Maghami
Berkshire Hathaway HomeServices
Agent Address 1400 Newport Center Drive 4200, N B, CA 92660 City:
State: CA Zip Code: 92660 Agent Email Address:
Escrow Company: I CORNER ESCROW
Work Phone: Joseph Maghami_949-813-1619
Mna Maghami: 949-874-4020
Newport Beach
Mina-MinaMaghami@gmail corn
Joseph - kjmaghami@gmail.com
Escrow #: 1 08-11962-VK
Escrow Address: 118600 MACARTHUR BLVD #350 City: I IRVINE
State: F CA Zip Code: 92612 Escrow Phone: 1 949-800-8908 / 949-346-2368
Email Report to: VESNA KOPAC, Escrow Officer: vesna.kopac@cornerescrow.com
For Inspection call (Name): Joseph Maghami @ 949-813-1619 Direct Phone: 949-813-1619
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
I authorize inspections and re -inspections of the property listed above. I understand that if Building or Zoning
violations are discovered I will be responsible to correctsaid violations.
Owner/Agent's signature to authorize inspection:
Date:
R
Owner/Agent's signature to decline % Date: 3 13
Account If 01050504-521040.................Make checks payable to: CITY OF NEWPORT BEACH
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